LISA RENEE MODELL

BRONX, NY
NPI1447315528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NY  001199)
Enumeration Date2006-12-27
Last Update Date2015-09-08
Business Address
Ms. LISA RENEE MODELL CNM
1400 PEHHAM PKWY SO. RM 3W7 MIDWIFERY OFFICE
BRONX, NY 10461
Phone number: 718-918-6326
Mailing Address
Ms. LISA RENEE MODELL CNM
1400 PEHHAM PKWY SO. TM 3W7 MIDWIFERY OFFICE
BRONX, NY 10461
Phone number: 718-918-6326
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